pg cert in contemporary restorative and aesthetic dentistry … · 2 days ago · gdp treatment of...
TRANSCRIPT
Syllabus and Specific Learning Objectives
&
GDC Development Outcomes
PG Cert in Contemporary Restorative and
Aesthetic Dentistry (Level I) 96 hours CPD
**(including free bonus online Dental Implant Module)**
www.dominic-hassall-training.co.uk
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2
DAY 1
Periodontology Module “Contemporary Periodontics”
Tutorial and contemporary literature
● Course introduction and philosophy
o Cosmetic, aesthetic or restorative, medico-legal and consent issues
o Dental care in the UK, changing treatment patterns
● Current concepts in diagnosis and monitoring periodontal disease
● The rapid and comprehensive periodontal examination
● Co-diagnosis and patient motivation/conversion and communication
● Risk assessment and selling value in periodontics
● Perio: systemic interface
● GDP treatment of periodontal disease
o Non-surgical, systemic antibiotics, local medicaments, photodynamic therapy, laser therapy, perio-flow – what
is the evidence?
● Peri-implantitis-diagnosis and treatment options
● Periodontal stability
Hands on practical
● Periodontal restorative treatment planning exercises
Learning objectives
By the end of this session participants should have gained the following:
● An understanding of the current status of restorative and aesthetic dentistry in the UK and changing treatment patterns
and future needs, including medio-legal aspects and consent
● An understanding of the BPE (basic periodontal examination), indices and the role of genetic and microbial testing in
the diagnosis and monitoring of periodontal disease
● An appreciation of the role and methods of co-diagnosis in patient discussion, motivation and consent
● A system for rapid risk based periodontal examination
● An insight into current opinions on links with systemic health and how to discuss this with patients
● An understanding of evidence based current treatment options and what represents periodontal stability
● An understanding of what periodontal diagnostic and treatment protocols to introduce into your clinical practice
● An over view of peri-implantitis
● Experience of perio : restorative treatment options and planning
GDC Development Outcomes: A, C, D
DAY 2
3
Periodontal Module “Aesthetic and Surgical Periodontal Procedures”
Tutorial and contemporary literature
● The “Biologic Width Concept” current evidence
● Implications of the biologic width on aesthetic restorative procedures
● Surgical crown lengthening for the ‘gummy smile’, gingival asymmetry and clinical crown height
● Socket and soft tissue preservation techniques in aesthetic and implant dentistry
● Root coverage and soft tissue augmentation for aesthetics
● Aesthetic gingival masks for compromised cases
● The ovate pontic concept in aesthetic and implant dentistry
● Lasers or electro-surgery?
Hands on Practical
● Flap design and suturing techniques
● Surgical crown lengthening exercise
● Practical electro-surgery techniques
Learning objectives
By the end of this session participants should have gained the following:
● An understanding of the latest theories on the biologic width and why some patients experience
recession/inflammation
● An understanding of how to access the biologic width and minimise aesthetic complications
● An understanding of surgical crown lengthening procedures for correction of gummy smile, asymmetry and clinical
crown height/ferrule
● Practical experience of crown lengthening procedures and stages in clinical practice
● A knowledge of socket preservation and the ovate pontic technique for soft tissue handling in the aesthetic zone
● A knowledge of aesthetic periodontics including root coverage procedures and gingival masks
● An understanding of the role of lasers and electro -surgery in restorative and aesthetic procedures
● Practical experience of electro -surgery techniques in clinical practice
GDC Development Outcomes: C, D
DAY 3
4
Complex Treatment and Assessment Module
Tutorial and contemporary literature
Rapid and comprehensive risk based patient assessment “The foundation for successful restorative, aesthetic and functional treatment” ● Periodontal
● Tooth based
● Occlusal/TMJ
● Aesthetic
The role of co-diagnosis in patient communication, care plan conversion and consent
● The role of the intra oral camera
● Models and information leaflets
The role of clinical photography
● The essential views required for restorative, aesthetic and occlusal planning
● Patient communication, conversion, medico-legal aspects and consent
● ‘Point and shoot’ or digital SLR
● Data handling and practice marketing
Hands on practical
● Hands on clinical photography practical
● Rapid and comprehensive risk based assessment practical
By the end of the session participants should have gained the following:
● An understanding of the role of comprehensive but rapid risk based patient assessment as the basis for successful
clinical dentistry
● A system for rapid risk based patient communication
● The role of risk based patient assessment in increasing patient co-diagnosis and reducing complications
● An understanding of the importance of intra-oral cameras and clinical photography in contemporary dental practice
● An appreciation of point and shoot cameras versus digital SLR
● Knowledge of the important views required and their importance in aesthetic occlusal and restorative based treatment
● Practical experience of risk based treatment planning
● Practical experience of clinical photographic techniques
GDC Development Outcomes: A, C, D
DAY 4
5
Aesthetic Foundations Module
Tutorial and contemporary literature
Rules and tools in smile design/aesthetic planning
● The aesthetic assessment sheet/check list
● Facially related tooth position, the basis of aesthetic planning
● Clinical stages in the aesthetic case
● Colour and shade selection in dentistry
● Customising characterisation
● Value, translucency, surface texture, dentine shades
● Successful laboratory communication
● Selecting appropriate tooth value, shape and form
● Gingival porcelains
● Identifying the high risk aesthetic case
Hands on practical
Aesthetic examination practical Shade taking exercise
● True shade
● Smile lite
● Laboratory prescription exercise
By the end of the session participants should have gained the following:
● Knowledge of how to undertake a risk based rapid, detailed aesthetic assessment and patient communication
● An understanding of the clinical stages (including consent) in the aesthetic: restorative case to increase aesthetic
predictability
● Appreciate the role and limitations of cosmetic imaging
● Understand the role of colour, shade, value, translucency, surface texture, dentine shades and tooth form in shade
matching and aesthetic dentistry
● Appreciate the role of customising characterisation and tooth form in successful shade matching and aesthetic
dentistry
● Understand how to communicate colour, shade, value, translucency, surface texture, dentine shades and tooth form to
the laboratory in clinical practice
● Understand the role of gingival porcelains in compromised aesthetic cases
● Practical experience of aesthetic assessment in clinical practice
● Practical experience of laboratory communication for shade, value, translucency, surface texture and dentine shading in
aesthetic dentistry to improve clinical outcomes
● Practical experience of current shade taking devices
● Knowledge of how to identify and manage the high risk aesthetic case
GDC Development Outcomes: A, B, C, D
DAY 5
Aesthetic Foundation Module
6
Tutorial and contemporary literature
Treatment planning options in aesthetic and restorative dentistry
● Whitening, orthodontics, composite bonding, veneers or crowns?
● Minimally invasive (MI) treatment options
● Current concepts in whitening
o Home, non-vital, power
o Medico-legal and consent aspects
o Techniques and maximising success
● The aesthetic and functional diagnostic wax up (the key to success)
● Porcelain veneers
o From no prep to full coverage
o Clinical preparation guidelines, temporisation and cementation in clinical practice
o Use of ‘prep through’ guides and silicone indexes to biologically control preparation in clinical practice
o Avoiding failure, patient selection, longevity and consent
Hands on practical
● Veneer preparations
● ‘Prep through’ and silicone indexes
By the end of the session participants should have gained the following:
● Knowledge of the treatment options in restorative: aesthetic dentistry including whitening, orthodontics, composite
bonding or indirect restorations including MI options and biologic cost
● An understanding of home, non-vital and power whitening
● Appreciate medico-legal aspects, consent and maximising success in whitening
● Understand the role of the diagnostic wax up as the key to functional and aesthetic success
● An understanding of how to use ‘prep through’ and silicone indices to minimise tooth removal in clinical practice
● An understanding of how to temporise veneers and undertake predictable veneer bonding in clinical practice
● An appreciation of the risk factors for veneer failure, patient selection and consent issues in clinical practice
GDC Development Outcomes: A, C, D
DAY 6
Anterior and Posterior Aesthetics Module
7
Bioclear Method Level 1 – Techniques for modern anterior composite dentistry
Tutorial and contemporary literature
● Bioclear Method background and method ● Minimally invasive dental techniques ● David Clark Matrix selection and adaptation ● Heating and injection molding of composite materials ● Biofilm removal ● Clark 2-step Polish technique ● Clark Class III cavity design with radius/infinity margin ● Injection molding for Class III restorations ● Black triangle closure/treatment ● Reshaping undersized teeth ● Treatment of peg laterals
Hands on practical
● Cavity design including the infinity edge margin in clinical practice ● Anatomic David Clark matrix selection and adaption in clinical practice ● Injection moulding composite technique in clinical practice ● Rock Star 2 step polish ● Anterior deep class III caries in clinical practice ● Treatment of Black Triangles in clinical practice ● Diastema closure and reshaping of undersized peg lateral teeth
By the end of the session participants should have gained the following
● An understanding of the Bioclear method including anterior cavity design using the infinity margin, injection
moulding, and the 2-step Bioclear polish technique in clinical practice ● Be able to restore deep anterior cavities using the David Clark matrices and Bioclear method in clinical
practice ● Be able to treat black triangle disease using the David Clark matrices and Bioclear method in clinical practice ● Be able to close diastemas using the David Clark matrices and Bioclear method in clinical practice ● Be able to reshape undersized teeth using the David Clark matrices and Bioclear method in clinical practice
GDC Development Outcomes: A, C, D
DAY 7
Anterior and Posterior Aesthetics Module
8
Bioclear Method Level 2 – Introduction to Posterior Composites
Tutorial and contemporary literature
● Modern science of durable posterior composite ● Prevention of white lines and visible margins in composites ● David Clark Matrix selection and adaptation ● Heating and injection molding of composite materials ● Biofilm removal ● Clark 2-step Polish technique ● Clark Class II cavity design ● Injection molding for interproximal Class II restorations ● Modernize G. V. Black cavity design to Clark Modern Composite Restoration
Hands on practical
● New science of strong posterior restorations and teeth ● Marginal design and prevention of white lines or visible margins in composites ● Minimally invasive Clark Class II restoration with injection molding ● Anatomic Clark matrix selection and adaption ● Calla Lily preparation – a tooth reinforcing preparation ● Achieving rock solid contacts with rounded, floss friendly embrasures. ● Rock Star 2 step polish
By the end of the sessions participants should have gained the following;
● An understanding of the Bioclear method including posterior cavity design, injection moulding, and the 3-step Bioclear polish technique in clinical practice
● Be able to select correct anatomical matrix in clinical practice
● Understand the Calla Lily preparation in clinical practice
● Demonstrate excellent contact points in clinical practice GDC Development Outcomes: A, C, D
DAY 8
Anterior and Posterior Aesthetics Module
Tutorial and contemporary literature
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● Selection of contemporary crown and bridge materials in clinical practice
o E.max and Zirconia
o Conventional metal ceramic and gold
o Composite materials
o Chair-side and laboratory provisional restorations
Hands on practical
● Use of preparation indices
● E.max preparations
● Zirconia preparations
● Metal ceramic preparations
● Full veneer gold preparations
Learning objectives
By the end of the session participants should have gained the following:
● Be able to understand current crown and bridge materials and their indications and limitations in their use
● Be able to undertake successful all ceramic, metal ceramic, gold crown and bridge preparations in clinical practice
● Be able to undertake successful short term and long term provisional restorations in clinical practice
● Be able to select the appropriate material and recognise the inherent risks in currently available materials in clinical
practice
GDC Development Outcomes: C, D
10
DAY 9
Anterior and Posterior Aesthetics Module
Tutorial and contemporary literature
● Direct or in-direct restoration
● Inlay/onlay or crown?
● Successful core techniques for vital/non vital teeth
● Successful post systems
● Contemporary bridge techniques
o Successful adhesive bridges (metal and zirconia based)
o Large span bridges
o Fixed moveable bridges for angulation difficulties
o Coping bridges for poor prognosis abutments
Minimising failure in fixed prosthodontics and aesthetic dentistry
● Mechanical and biologic factors in failure
● Appropriate abutment selection
● Pulpal protection and the Pashley technique
● The importance of particle abrasion
● Predictable impression techniques and material selection
● Current recommendations in cement choice
● Core/post materials and techniques
● Patient and laboratory factors in failure
● Importance of the ferrule effect
Hands on practical
● Inlay and onlay preparation techniques and temporisation
● Adhesive bridge techniques
Learning objectives
By the end of the session participants should have gained the following:
● Be able to appropriately select an inlay, onlay or crown in clinical practice
● Appreciate current aesthetic and functional core and post materials and techniques for vital and non-vital teeth
● Be able to undertake successful adhesive bridge techniques in clinical practice
● Understand advanced bridge techniques including large span, coping and fixed moveable bridges
● Appreciate how to minimise complications and failure in fixed prothdotontics in clinical practice
● Be able to assess risk in abutment selection in clinical practice
● Be able to select appropriate cements in clinical practice
● Be able to undertake predictable accurate impressions
● Be able to undertake inlay and onlay preparations and predictable temporisation in clinical practice
● Appreciate the importance of and how to achieve the ferrule effect in clinical practice
GDC Development Outcomes: C, D
11
DAY 10
Occlusion Module (Participants will require a set of study models of their own mouth for this session).
Tutorial and contemporary literature
● Features of the ‘ideal occlusion’ and the rapid clinical occlusal examination
● Articulators and facebows – why, which system and when to use?
● Mounting models on the articulator
● Occlusal analysis of study models
Hands on Practical
● The facebow record
● Mounting models on the articulator
● Occlusal analysis
Learning Objectives
By the end of the session participants should have gained the following:
● An understanding of the features of the ‘ideal occlusion’ and how to examine the occlusion in clinical practice
● An understanding of the role of articulators in restorative and aesthetic dentistry
● Knowledge of the features of articulators for restorative and aesthetic dentistry
● An understanding of the facebow transfer and its importance
● Be able to undertake an accurate facebow record in clinical practice
● Be able to mount study models on the articulator in clinical practice
● Be able to undertake an occlusal analysis in clinical practice
GDC Development Outcomes: C
12
DAY 11
Occlusion and Complex Treatment Module
Tutorial and contemporary literature
● Successful occlusion for the GDP
● Comprehensive risk based rapid examination of the oro-facial muscles and joints
● Diagnosis of occlusal/TMJ disorders
● Current concepts in the treatment of occlusion/TMJ disorders (including bruxism)
● Role of splints in restorative dentistry and occlusion/TMJ disorders (including bruxism)
● Clinical aspects of centric relation
● When to conform to or reorganise the occlusion
Complex Treatment and Assessment Module
Tutorial and contemporary literature
● Save or extract?
● Endodontics or implant?
● Preventative strategies for caries, tooth surface loss and periodontal disease
Hands on practical
● Restorative/aesthetic diagnostic and treatment planning exercises
Learning objectives
By the end of the session the participants should have gained the following:
● An understanding of the principles of successful occlusion for the GDP
● Be able to rapidly assess occlusal/TMJ disorders and recognise their importance in clinical practice
● Appreciate current evidence based concepts in the treatment of occlusal/TMJ disorders (including bruxism)
● Understand the role of splints (anterior deprogrammer, flat plane, soft bite guard and restorative) in occlusal/TMJ
disorders (including bruxism)
● An appreciation of when to conform to the exiting occlusion or reorganise in clinical practice
● Understand the importance of centric relation as the foundation for the reorganised approach in clinical practice
● An appreciation of risk analysis in deciding saveable, questionable or teeth that require extraction in clinical practice
● An appreciation of when to endodontically treat or progress to implant treatment and risk factors for
endodontic/implant treatment
● An understanding of current evidence based preventative strategies for caries, tooth surface loss and periodontal
disease and be able to implement these into your clinical practice
● An understanding of restorative/aesthetic diagnostic and treatment planning exercises
GDC Development Outcomes: C
13
DAY 12
Complex Treatment Module
Tutorial and contemporary literature
● Marketing the advanced aesthetic practice
● Structured risk based patient consultation and case presentation
Advanced treatments ● Tooth surface loss
▪ Aetiologies
▪ Localised tooth surface loss
● The Dahl appliance
▪ Generalised tooth surface loss
● Diagnosis
● Composite, indirect onlays and overdentures
● Assessing risk ‘parafunction’ or ‘erosion’
● Aesthetic partial dentures
o Role of attachments
o Predictable attachments for the GDP; copings and locators
Hands on practical
● Restorative/aesthetic diagnostic and treatment planning exercises
Learning objectives
By the end of the session participants should have gained the following:
● An understanding of internal marketing methods and attracting new patients to your practice
● An appreciation of the risk based patient consultation consent/communication and case presentation for new patients
● An understanding of the aetiologies of tooth surface loss and importance in predicting prognosis in clinical practice
● The treatment of localised tooth surface loss and ‘The Dahl concept’ in clinical practice
● An understanding of the role of direct composite, onlays and overdentures in the treatment of tooth surface loss in
clinical practice
● An understanding of the role of aesthetic dentures in partially dentate patients
● An understanding of predictable precision attachments in restorative dentistry
● An understanding of restorative/aesthetic diagnostic and treatment planning exercises
GDC Development Outcomes: A, B, C, D
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DAY 13
Complex Treatment Module
Tutorial and contemporary literature
● The orthodontic, aesthetic, restorative, functional interface
● GDP orthodontics; clear aligners, short term, comprehensive specialist and lingual orthodontics
o What can GDP’s treat and what should specialists treat?
● Aesthetic, restorative aspects of Implantology
● Course summary – “putting it all together”
Hands on practical
● Restorative/aesthetic diagnostic and treatment planning exercises
Learning objectives
By the end of the session participants should have gained the following:
● An understanding of the indications and limitations of clear aligners, short term orthodontics, lingual and
comprehensive orthodontics in clinical practice
● An appreciation of the aesthetic and functional benefits of orthodontics and aesthetic/functional adjunctive role in
restorative aesthetic dentistry
● An understanding of indications/contraindications to implants in clinical practice
● An understanding of the aesthetic aspects of Implantology in clinical practice
● An appreciation of restorative aspects of Implantology in clinical practice
● An understanding of restorative/aesthetic treatment planning exercises
● An appreciation of when to refer in clinical practice
Please note days may vary due to lecturer availability/availability of course materials
GDC Development Outcomes: B, C, D
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**Free Bonus Online Dental Implant Module**
Learning objectives By the end of the module the participants should have gained the following: Non-Implant Assessment
● Be able to assess individual tooth prognosis and whether it should be saved or extracted in clinical practice ● Be able to assess the suitability of a tooth as a potential bridge abutment in clinical practice ● Appreciate the indications and benefits of implants and how to communicate this to patients ● Appreciate success rates for endodontic treatment in clinical practice ● Understand implant survival vs success and mechanical and biological complications in clinical practice ● Appreciate reasons for failures of implants in clinical practice and patient communication of risk factors ● Appreciate to role of tooth hemisection/root re-section as an alternative to tooth extraction in clinical practice ● Alternative treatments to implant therapy
Implant Planning
● Appreciate the factors that need to be assessed when predicting possible implant aesthetic outcomes in clinical practice ● Understand Seiberts classification and its clinical applications ● Understand the pink aesthetic score and its clinical implications ● Understand the Lekholm and Zarb classification and its clinical relevance ● Understand the applications of CBCT in implant dentistry, oral surgery, endodontics and facial pain in clinical practice ● Appreciate the importance of periodontal diagnosis and risk assessment in implant cases ● Understand the nature of periodontal disease, mucositis and peri-implantitis in clinical practice ● Understand periodontal stability and its importance prior to implant therapy in clinical practice
Implant Occlusion
● Appreciate the relevance of occlusion in implant dentistry ● Appreciate implant occlusally related complications that can occur in clinical practice ● Understand the concept of the “protected occlusion” in clinical practice ● Understand the role of the articulator in implant dentistry in clinical practice ● Understand the features of the semi-adjustable articulator and hinge axis ear bow ● Appreciate occlusal issues specific to implant clinical practice ● Understand the role of bruxism in influencing implant clinical protocols
Implant Restorative
● Be able to select the appropriate abutment material for a predictable long term aesthetic and functional result in clinical practice
● Be able to risk assess implant treatment in the aesthetic zone ● Appreciate possible techniques for increasing the aesthetic predictability of implant treatment in the aesthetic zone ● Understand the principles and materials including limitations of the ridge preservation technique ● Appreciate aesthetic restorative implant led treatment planning including the role of CBCT and software planning
techniques ● Appreciate the restorative phases in the aesthetic screw retained bridge case ● Understand the limitations of full dentures and how implant assisted dentures may improve this in clinical practice ● Appreciate the range of implant assisted attachments available and their advantages and disadvantages ● Appreciate the restorative and surgical phases in the implant assisted denture case
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Advanced Implant Restorative
● Be aware of long term maintenance issues in implant dentistry in relation to individual risk factors ● Understand the advantages and limitations of the screw retained implant restoration ● Be able to understand tailored personalised oral hygiene regimes and co-ordination with other members of the dental
team ● Appreciate treatment options for mucositis and peri-implantitis in clinical practice ● Appreciate the importance of the periodontal implant interface and the importance of periodontal stability in implant
long term success GDC Development Outcomes: A,B,C,D
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